Family caregivers who support older relatives are on the rise due to aging-in-place preferences

Didier Malagies • February 6, 2025




The number of family caregivers who support older relatives in either home-based or residential care settings increased by 32% between 2011 and 2022 — a sharp rise that can be attributed to an increase in the number of caregivers living with recipients. Researchers also say this could be partially tied to rising preferences for aging in place.


This is according to a joint study from the Johns Hopkins Bloomberg School of Public Health and the University of Michigan’s Institute for Social Research. Additional support came from the National Institute on Aging, a division of the National Institutes of Health (NIH).


The raw number increase went from 18.2 million in 2011 to 24.1 million in 2022. The study also found that the number of care hours provided by family and other unpaid caregivers increased by 50% during that time. The average number of weekly hours for such care stood at 21.4 in 2011, but it jumped to 31 in 2022, nine hours short of what is widely considered a full-time weekly work schedule.


The data for the study was sourced from the National Health and Aging Trends Study (NHATS) and the National Study of Caregiving (NSOC) from 2011 and 2022, according to information shared by Johns Hopkins about the methodology and findings.


“NHATS interviews a representative group of older adults enrolled in Medicare each year about their daily activities, while the NSOC gathers information annually on unpaid and family caregivers,” the institution explained. “The study included samples of older adults who received help with self-care, mobility, or household activities for health or functioning reasons, and the family or unpaid caregivers who assisted them.”


Roughly 12% of unpaid caregivers in 2022 were friends, neighbors or otherwise not directly associated with the family of the care recipient. The remainder said they were relatives. By 2022, caregivers were also more likely to be younger, better educated and male than the data indicated in 2011.


As aging in place has become more popular with older adults and their families, there could be a tendency to take the availability of family caregivers for granted without consideration to the impacts that caregiving has on their own professional prospects, the researchers said.


“With an increasing emphasis on value-based care and aging in place, there is often an assumption that family caregivers are available and have the capacity to provide needed support,” the study said. “The researchers recommend that policymakers develop strong support systems for family caregivers.”

There is more targeted support for family caregivers under certain situations including through Medicaid waivers, a Medicare hospice benefit and state-level paid family leave policies. But researchers “advocate for a cohesive national strategy to address caregivers’ financial, emotional, and physical challenges.”

Late last year, Johns Hopkins published another study suggesting that the integration of health, social services and community-based support systems must be improved to better accommodate the desires of older Americans to age in place in their homes.



In early 2024, researchers from Rutgers University found that home-based care is a leading outcome for older Americans who seek to age in place. The results of this academic work may shed light on broader considerations, leading more older Americans to seek out certain end-of-life care paths, particularly as the U.S. population grows older more quickly.





Have A Question?

Use the form below and we will give your our expert answers!

Reverse Mortgage Ask A Question


Start Your Loan with DDA today
Your local Mortgage Broker

Mortgage Broker Largo
See our Reviews

Looking for more details? Listen to our extended podcast! 

Check out our other helpful videos to learn more about credit and residential mortgages.

By Didier Malagies March 20, 2026
Thinking about refinancing your mortgage? You're not alone! Many homeowners are exploring refinancing to take advantage of potentially lower interest rates, shorten their loan term, or tap into their home's equity. But let's face it, the thought of all those closing costs can be a real deterrent. Title fees, appraisals, credit reports - they all add up! What if we told you there were ways to potentially reduce or even eliminate some of those pesky fees ? At DDA Mortgage, we're committed to finding you the best possible refinance options, and that includes exploring every avenue to save you money. The key lies in getting a solid loan approval through automated underwriting. Let's dive into how you might be able to save big!
By Didier Malagies March 18, 2026
That Redfin data point—$13 trillion in housing wealth held by Americans 70+—is a big deal, and it ties into several powerful trends reshaping the housing and mortgage markets. What’s driving this record wealth? 1. Long-term home price appreciation Older homeowners bought decades ago at much lower prices and have benefited from massive appreciation, especially post-2020. 2. Low mortgage leverage Many in this age group either: Own their homes outright, or Have very small remaining balances So their equity = real wealth , not just paper gains. 3. Aging in place Instead of downsizing, many are staying put longer, allowing equity to continue compounding. Why this matters (big picture) 1. Supply constraint in housing Fewer older homeowners are selling, which: Keeps inventory tight Supports higher home prices This is one reason younger buyers are struggling to find affordable homes. 2. Wealth inequality across generations Younger generations: Face higher home prices Have less access to equity Meanwhile, older Americans control a disproportionate share of housing wealth. Implications for mortgage and lending 1. Rise of equity-based lending This trend directly fuels growth in: Reverse mortgages (HECMs) HELOCs Cash-out refinances That $13T is largely untapped liquidity . 2. “Living off equity” becomes more common With concerns around: Social Security stability Inflation More retirees are using housing wealth as: Income supplementation Emergency reserves 3. Intergenerational wealth transfer We’re seeing more: Parents helping kids with down payments Early inheritance strategies using home equity The hidden risk This isn’t risk-free: If home prices flatten or fall → equity shrinks Property taxes + insurance (especially in places like Florida) can pressure fixed-income retirees Liquidity is still “locked” unless accessed strategically Bottom line That $13 trillion figure isn’t just a stat—it represents a shift in where wealth lives in America : Housing is now the primary balance sheet asset for older Americans It’s becoming a retirement tool , not just a place to live And it’s quietly shaping everything from housing supply to lending innovation  Didier Malagies nmls212566 DDA Mortgage nmls324329
By DDA Mortage March 17, 2026
Tired of throwing money away on rent? Learn how an SBA 7(a) loan from DDA Mortgage can help you buy your commercial property with 100% financing and build equity.
Show More